VICTOR USMAN
Dependent on policy B04M000065
Claims
3
Attributed to this person
Charged
855.00
Total submitted
Denied
219.07
2 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | VICTOR USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000065 |
| Date of birth | 29 Jan 1984 |
| Plan | BRONZE EPO |
| Covered from | 22 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000284 | 21 Jan 2026 | 199.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 84.07 |
| CLM0000285 | 13 Aug 2025 | 521.00 | CASCADE CARE | Not denied | — |
| CLM0000283 | 28 Sep 2024 | 135.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 135.00 |